Shawn Michael McFaddin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1125300 Issued in TX

Practice address

321 Garland Dr
Lake Jackson, TX 77566-6238

Phone

(979) 297-3365

Fax

(979) 297-3541

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brazosport Rehabilitation & Wellness, LLC

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1013176783
  NPD (past)
• Fitness & Rehabilitation Services, LLC

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1780694562
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1972589380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDIN",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Carroll Mays, DDS
• Samantha B McCarey, NP
• Jamee Lowery McClure, SLP
• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
• Ashton Marie McDonald, MS,LPA
• John Kevin McGrory, D.D.S.
• Karen Ann McGuire, DNP, APRN-C, FNP-C
• Emily McIntire
• Kelsie McLeod, LPC, NCC
• Elizabeth McMillian

• Physical Therapist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.